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Organization

NATIONAL MENTOR HEALTHCARE

Active
Other names
ARIZONA MENTOR
Organization subpart
No

Provider details

NPI number
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (VP & SR ASST GENERAL COUNSEL)
(952) 836-2234
Entity
Organization

Contact information

Practice address
2700 N 3RD ST STE 4000, PHOENIX, AZ 85004-1173
(602) 200-9494
(602) 567-2064
Mailing address
6600 FRANCE AVE S STE 350, EDINA, MN 55435-1810
(800) 388-5150
(617) 790-4271

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
195322
AZ
Enumeration date
01/18/2007
Last updated
08/21/2025
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